Fridge-tag® recording sheet

Name Name number Month / Year Name

MONDAY 4 October 2010 4.3 5.7 This reading belongs to Friday 1 October 2010 This is Saturday and Sunday, this is why there are no readings recorded here 5.2 6.1

MONDAY 4 October 2010 When you press the READ button once, ▲ sign under TODAY starts blinking. This shows that the highest temperature between 00:00 midnight and now was 6.1 deg C. Since it is not above the 8 deg C, time above the limit shows 00:00 and OK sign appears. Since the day is not completed and this information could change during the day, this information should not be recorded anywhere. 4.3 5.7 5.2 6.1

MONDAY 4 October 2010 When you press the READ button again, ▼ sign under TODAY starts blinking. This shows that the lowest temperature between 00:00 midnight and now was 4.7 deg C. Since it is not below the -0.5 deg C, time below the limit shows 00:00 and OK sign appears. Since the day is not completed and this information could change during the day, this information should not be recorded anywhere. 4.3 5.7 5.2 6.1

When you press the READ button once, ▲ sign under YESTERDAY starts blinking. Now we will get information on what has happened on Sunday. SUNDAY 3 October 2010 The highest temperature on Sunday was 9.7 deg C. It was above 8 deg C for 4 hours and 41 minutes. Since alarm condition of 10 hours is not violated, OK sign appears on the left. Let's record this information to the form below… 4.3 5.7 9.7 OK 04:41 G.B. 5.2 6.1

SUNDAY 3 October 2010 4.3 5.7 9.7 OK 04:41 G.B. 3.7 OK 00:00 G.B. 5.2 When you press the READ button once more, ▼ sign under YESTERDAY starts blinking. The lowest temperature on Sunday was 3.7 deg C. It was not below -0.5 deg C this is why time violation is indicated as 00:00 and OK sign appears on the left. Let's record this information to the form below… 4.3 5.7 9.7 OK 04:41 G.B. 3.7 OK 00:00 G.B. 5.2 6.1

SATURDAY 2 October 2010 4.3 5.7 6.4 OK 00:00 G.B. 9.7 OK 04:41 G.B. When you press the READ button once more, ▲ sign under -2days starts blinking. Now we will get information on what has happened on Saturday. SATURDAY 2 October 2010 4.3 5.7 6.4 OK 00:00 G.B. 9.7 OK 04:41 G.B. 3.7 OK 00:00 G.B. 5.2 6.1

SATURDAY 2 October 2010 4.3 5.7 6.4 OK 00:00 G.B. -2.3 ALARM 03:12 When you press the READ button once more, ▼ sign under -2days starts blinking. The lowest temperature on Saturday was -2.3 deg C. It was below -0.5 deg C for 3 hours and 12 minutes. Since it is longer than 1 hour, ALARM sign appears on the left. Let's record this information to the form below… 4.3 5.7 6.4 OK 00:00 G.B. -2.3 ALARM 03:12 G.B. 9.7 OK 04:41 G.B. 3.7 OK 00:00 G.B. 5.2 6.1

FRIDAY 1 October 2010 4.3 5.7 9.9 ALARM 12:54 G.B. 6.4 OK 00:00 G.B. Now we need to see what has happened on FRIDAY You need to press READ button once more, ▲ sign under -3days starts blinking. The highest temperature on Friday was 9.9 deg C. It was above 8 deg C for 12 hours 54 minutes. Since it is longer than 10 hours, ALARM sign appears on the left. Let's record this information to the form below… 4.3 5.7 9.9 ALARM 12:54 G.B. 6.4 OK 00:00 G.B. -2.3 ALARM 03:12 G.B. 9.7 OK 04:41 G.B. 3.7 OK 00:00 G.B. 5.2 6.1

FRIDAY 1 October 2010 4.3 5.7 9.9 ALARM 12:54 G.B. 5.2 OK 00:00 G.B. When you press the READ button once more, ▼ sign under -3days starts blinking. The lowest temperature on Friday was 5.2 deg C. It was not below -0.5 deg C. Therefore time is displayed as 00:00 and OK sign appears on the left. Let's record this information to the form below… 4.3 5.7 9.9 ALARM 12:54 G.B. 5.2 OK 00:00 G.B. 6.4 OK 00:00 G.B. -2.3 ALARM 03:12 G.B. 9.7 OK 04:41 G.B. 3.7 OK 00:00 G.B. 5.2 6.1

This completes your recording of temperatures to recording sheet on a typical Monday morning. These two would remain blank, because you did not read the current temperatures on Saturday and Sunday AM and PM. This does not matter since you have detailed information on the high and low temperatures for those days. 4.3 5.7 9.9 ALARM 12:54 G.B. 5.2 OK 00:00 G.B. 6.4 OK 00:00 G.B. -2.3 ALARM 03:12 G.B. 9.7 OK 04:41 G.B. 3.7 OK 00:00 G.B. 5.2 6.1

Next step is to analyze this information. You have to follow the check list for what to do with the alarms. As for the 9.9 deg C alarm on Friday, you have to check the VVM status of all vaccines. As for the -2.3 deg alarm on Saturday, you have to conduct the shake test for all freeze sensitive vaccines in your refrigerator. 4.3 5.7 9.9 ALARM 12:54 G.B. 5.2 OK 00:00 G.B. 6.4 OK 00:00 G.B. -2.3 ALARM 03:12 G.B. 9.7 OK 04:41 G.B. 3.7 OK 00:00 G.B. 5.2 6.1

HIGH ALARM (over 8 deg C for more than 10 hours continuous) In principle, the following should be checked in all ALARM situations: HIGH ALARM (over 8 deg C for more than 10 hours continuous) This alarm could only appear in the case of quite long electricity cuts or when the door of the refrigerator is left open. It may also occur with wrong thermostat settings. In principle, thermostat should be arranged in a way to obtain min 5 deg during the coldest time of the day (in the morning, when you arrive to the facility). WHO does not recommend manipulation of the thermostat and recommends all thermostats to be sealed. Check the cable and make sure that the refrigerator is plugged Check whether there is electricity Check the door of the refrigerator, make sure it closes fully.

LOW ALARM (below -0.5 deg C for more than 1 hour continuous) In principle, the following should be checked in all ALARM situations: LOW ALARM (below -0.5 deg C for more than 1 hour continuous) This alarm could appear in the case of wrong thermostat setting as well as when the ambient temperature is quite low (especially during the nights). In all cases you should conduct shake test for all freeze-sensitive vaccines in your refrigerator. You should follow shake test guidelines published by the WHO. Photograph: Ümit Kıvanç Frozen test vial Non-frozen test vial Frozen control vial

Now, check the devices you have and record the information in the recording sheet. Please note that today is MONDAY the 5th.